using - smallsteps · 2020. 12. 3. · struggling to pay for toothbrushes and toothpaste. a final...

to inform services for children and families

(pregnancy - 4yrs)

parent

voice

Using

Small Steps Big Changes

Using parent voice to inform services for children and familiesPublished July 2020

ContentsBackground 4

Gratitude 4

Questionnaires 4

Consultation process 5

Data analysis and results 6

l Breastfeeding 7

l Healthy weight 8

l Healthy teeth 9

l Smoking in pregnancy 11

l Support for parents 12

l Communication and language development 13

l Social and emotional questionnaire 14

l Difficulties in pregnancy / birth 14

l Relationship with baby 14

l Difficulty bonding 15

l Relationship with partner 15

l Relationship support 15

l Mental health 16

l Other support 16

Recommendations 17

l Breastfeeding 17

l Healthy weight 17

l Healthy teeth 18

l Smoking in pregnancy 18

l Support for children's behaviour 19

l Communication & language development 20

l Relationships 20

l Attachment and bonding 21

l Mental health 21

Appendix 1 - General projects questionnaire 22

Appendix 2 - Social & Emotional development questionnaire 28

Using parent voice to inform services for children and families

Using parent voice to inform services for children and familiesPublished July 2020

2

1

BackgroundIn early 2020, SSBC carried out a consultation with parents who had babies and children under 4 years old to ask them about some specific aspects of child development. The views given by parents will be used to both further develop existing services and develop new provision. This report summarises the process and the findings of the consultation.

GratitudeSSBC would like to give thanks to partners who worked with parents to complete the questionnaires and returned them for analysis. SSBC would also like to thank parents and carers for taking time to complete the questionnaires.

QuestionnairesTwo questionnaires were developed for the consultation:

General Projects This questionnaire was split into sections covering:

l Breastfeedingl Healthy weightl Healthy teethl Smoking in pregnancyl Support for parents l Communication & language development

Social & Emotional Development The aim of this questionnaire was to explore areas that may impact a child’s emotional wellbeing. It included sensitive questions about relationships, attachment, bonding, mental health and support needs.


4

Consultation processUsing parent voice to inform services for children and families

5

Questionnaires written (See appendices for the final versions)

Distribution of questionnaires - 27th January – 5th March 2020General Projects questionnaire distributed via:l SSBC Engagement Teaml Literacy Volunteersl Family Mentor Hubsl Parent Champions & Ambassadors l Tots Time sessions at librariesl FRED* co-production session l Frosty Fun Day at Bulwell Academy - 19th Februaryl Big Stories for Little Explorers at Hyson Green Youth Club - 5th March

Social & Emotional questionnaire distributed via:l Nurses from the Family Nurse Partnership l Family Mentor Hubs l Early Help’s Peep Watch Me Grow sessions

Data analysisResponses were analysed

RecommendationsAnalysis of the questionnaire data informs future service

and activity recommendations

Collation of QuestionnairesResponses entered into Survey Monkey and then exported into MS Excel

*Fathers Reading Every Day


6

Data analysis & results114 questionnaires were returned in total77 General Projects questionnaires 37 Social & Emotional questionnaires

92% of questionnaires were completed by mothers 8% were completed by fathers

The data from the individual questions was analysed and the main conclusions are summarised in this report. We have also drawn out additional feedback of interest; these points are presented next to the relevant graphs. Please note that they were suggested by a minority of parents and therefore not intended to be consensus headlines.

How many parents who responded to the questionnaires live in the SSBC wards?

Age of youngest child

215

18

13

11

55

16

18

19

17

52

1

Aspley

Hyson Green & Arboretum

Out of ward

Bulwell

St Ann's

No data

Pregnant

Between 2-3yrs

Between 4-5yrs

Less than 1yr Between 1-2yrs

Between 3-4yrs

Older than 5yrs

of the parents who returned the questionnaires live in the 4 SSBC wards

respondents were outside of SSBC wards55

48

parents who completed the questionnaires had children outside of the SSBC age range (pregnancy up to 4 yrs)

respondents had a child less than 1yr old52

7

2

1

Breastfeeding


7

When asked for reasons to explain low breastfeeding rates, the main response was feeling 'worried' (i.e. not feeling confident or comfortable enough) about breastfeeding in public.

There were two main suggestions to support breastfeeding:

More provision of private spaces for breastfeeding when out and about

Increased educational provision, including: information on attachment, how often to feed, signs baby is full, support around common problems like positioning, sore nipples and challenges with expressing milk

Additional ideas included more specialist support from Breastfeeding Support Workers, particularly in hospital. One person suggested mothers should not be discharged from hospital until they are comfortable and confident to continue breastfeeding at home. Peer support and Doula services were also suggested to provide on-going support in the early days.

Some respondents suggested that lack of understanding could be an underlying issue, compounded by lack of specialist breastfeeding support. Some mothers were concerned they may not have enough milk or know when their baby is full. Some mothers noted that they preferred bottle feeding as their partners could share the feeding responsibilities. Additional reasons for not breastfeeding included: l Feeling a pressure to bottle feed

following the birth of their babiesl Struggling to keep up with the demand

of expressing milk when their baby was in the neonatal unit

l Feeling unsupported during the early weeks of bringing their babies home

l Returning to work and a lack of support to express within working hours

0

10

5

0

10

15

20

25

30

35

20

30

40

50

60

70

80

Worried about

feeding in publicNo su

pport

Worried about

milk supply

Too busy

Working

Total responses

Employment

Education

Breastfeeding sp

aces

Support groups

Specialist su

pport

Peer support

Support in hospital

Reasons for not breastfeeding

Suggested support and ideas

12


8

Healthy weight

When asked for reasons for the high rates of obesity in children, there were two common answers:

Unhealthy food is cheap and easily available

Children have limited access to play areas

Some parents proposed cooking and nutritional information sessions to increase awareness of the importance of a balanced diet and improve cooking skills. Some suggested that the sessions could be held as a class or within the parents’ homes.

A number of parents and carers proposed increasing the offer of free or more affordable family activity sessions, such as swimming, family walking routes, allotments, sports groups, and more activities for over 5’s.

A small number of people would like to see schools contribute through increasing healthier options at meal times, health checks in school as well as increasing the number and range of after school clubs.

For families facing financial difficulty, respondents suggested offering healthy food vouchers.

Some parents would welcome information flyers and leaflets delivered to their homes advertising local activities and information on healthy meal ideas.

A popular consensus was that lifestyle impacts upon food choice. This view encompassed parents’ experiences as children and the food that they consumed as well as poverty, and the availability of cheap convenience foods. Some felt that the reason parents gave their children unhealthy meals was because they were busy and had limited time for meal planning and preparation.

There were three common suggestions to promote healthy weight for children:

Healthy eating and cooking advice. One person suggested cooking sessions on Mondays to support families with meal planning, snacks and batch cooking for the week ahead

Provide affordable local family activity sessions e.g. free swimming

Ensure outdoor parks are safe and maintained, perhaps through the use of Park Rangers

0

5

10

15

20

25

30

Healthy eating & cooking advice

More local activities

Outdoor space

School offer

Financial support

Leaflets / flyers

Suggested ways to achieve a healthy weight

1

2

3

1

2

3


9

Healthy teeth

When asked why children’s oral health was poor in Nottingham, parents answered that it was due to:

Information on the importance of brushing and caring for teeth is not readily available, especially about baby teeth. Lack of clear guidance on when and why children should be taken to the dentist

Poor nutrition; children’s diets are high in sugars from sweets and fizzy drinks

Difficulty accessing a dentist

of respondents agreed that a public oral health campaign could increase

awareness and therefore improve oral health in children.

0

0

5

2

4

6

8

10

12

14

16

18

20

10

15

20

25

30

35

40

45

Education

Oral healthcampaign

Nutrition

Education settings

Accessing a dentist

ToothbrushVoucher scheme

Poverty

Access todentist

Suggested reasons for poor oral health

Ideas for services, support and information

Some responses suggested that parents may not know that baby teeth are important. In addition, some children refused brushing or parents found it difficult to fit tooth brushing into their daily routines.

Poor nutrition was thought to be closely linked to oral health, with many children eating and drinking foods with high sugar content. Some respondents suggested that children may not have a toothbrush and toothpaste at home or parents may not be accessing a dentist because they do not know enough about the importance of good oral health. Two people said there were not enough dentist appointments available.

87%


10

Parents suggested that an oral health campaign should cover:

l The benefits of tooth brushing

l Hints and tips on brushing children's teeth

l Healthy eating, snacks and nutritional advice

l Posters to promote taking babies to the dentist

l Fun educational resources for children

respondents felt support from nurseries and schools would help too, including:

l Check-ups for all children and follow up visits

l Tooth brushing as part of the daily school routine

Another 12 parents called for a voucher scheme to support families struggling to pay for toothbrushes and toothpaste. 12

A final suggestion was for the Health Visiting one year check to include oral health guidance and advice on the benefits of visiting the dentist early.

1

2

3

Parents thought there were three main reasons why mothers continued to smoke during pregnancy:

There is a lack of knowledge about the impact of smoking on the unborn baby

Lifestyle and culture - mothers continue smoking because their peers are smoking, including family, friends and partners. This normalises smoking and makes it harder to stop or reduce smoking

To cope with stress and anxiety including domestic abuse


11

Smoking in pregnancy

Why mothers smoke in pregnancy

Ideas for giving up smoking

0

5

10

15

20

25

30

Education Stress Lifestyle

Some parents suggested that within communities where smoking is prevalent (and has been throughout several generations), smoking is normalised with no stigma attached to it. One person shared that their own mother had smoked through all three of her pregnancies and the children were unaffected.

0

2

4

6

8

10

12

14

16

18

Education

Support groups

Peer support

from mumsAdvertisi

ng

Incentives /

rewards

e-cigarettes

1

2

3

There were three main ideas to support mothers to give up smoking during pregnancy:

Increased education and information on the dangers of smoking in pregnancy with clear details of the impact on the unborn baby

Offer regular support groups for both the mum and dad-to-be

A peer service led by mothers who are ex-smokers providing support and advice

Some respondents said that regular support groups should be offered at health clinics with reminders to attend. Incentives and rewards may provide an added motivation to stop or reduce smoking.

One respondent proposed that support for mothers who are experiencing stress and anxiety should be offered before addressing smoking. It was suggested that alternative coping tools would increase the success of smoking cessation.

A small number of people suggested a public health campaign. A further suggestion was to provide e-cigarettes as a safer alternative.

12

1

23456


12

Support for parents

Parents and carers were asked where they went for advice or support with their children’s behaviour, such as bedtimes, tantrums, fighting, and listening. The majority of respondents said they would seek support within their circle of friends and family or via the internet.

27% of respondents said they would not attend parenting groups. Reasons included: finding it daunting, not wanting to be seen as not coping, thinking the courses are for ‘problem families’. Some respondents pointed out that parenting groups did not fit easily around full-time work or shift patterns.

0

5

10

15

20

25

30

35

40

Children’s CentreGP

Triple PInternet

Social media

Family Mentor

Health Visitor

School / nurse

ry

Friends & family

Where do people access support for behaviour?

Suggested parenting group topics

0

2

4

6

8

10

12

Routines

BehaviourChild

development

Peer support

Meals

Financial

support / info

37% of respondents said they would attend parenting groups, or have in the past. They found the groups helpful and welcomed the opportunity to support each other and share tips.

When asked what support they would like, the main areas were:

Routines and child development

Activities they could do at home to support learning

Other suggestions for parenting group topics included; information about financial support and parenting styles in other cultures.

Suggestions to improve attendance at parenting groups included: Better advertising including via social media and in venues such as libraries and newsagents, community and educational settings

Being offered to all families

Avoiding use of the phrase ‘parenting group’

Running on more than one day per week and scheduled after popular children's groups

Sessions held in venues easily accessible by public transport

Sessions run by parents and supported by professionals

1

2

Parents and carers suggested two ways to support children’s speech and language development:

Examples of play activities to support children’s speech and language

Groups offering information on child development and school readiness


13

Communication & language developmentReasons for poor language & communication

0

5

10

15

20

25

2

Time

Lack of parent /

child interaction

Technology

Lack of su

pport

Not accessin

g groups

Education

Some parents also suggested that technology may have an impact on parents' attention to their children with many spending time on social media rather than spending quality time with their children. Other suggestions highlighted a lack of knowledge about how to support language and communication.

When asked why a third of children in Nottingham start school with poor speaking and listening skills, the parents' responses were:

Not enough parent-child interaction at home, including having conversations or reading

A lack of support and education on how parents can help develop language and communication at home

Parents’ reliance on technology to entertain their children

0

5

10

15

20

25

30

35

Support with play

Groups Reading Adult learning

What would support children's speech & language?

Respondents suggested that parents needed guidance on play, including: The benefits of play, how to play and what games and activities can promote speech and language. It was proposed that this information could be offered as an adult learning course, run during existing groups, during home visits or within a hand-out.

Some suggested more groups to support reading and more baby groups. Others thought support for parents with low literacy would lead to increased parent confidence to support children’s learning within the home.

1

2

3

12


14

Difficulties in pregnancy / birth

0

1

2

3

4

5

6

Blood Pressure

Gestational diabetes

Sickness

Depression / lo

w mood

Caesarean section

Low iron

Social and emotional questionnaire

The most prevalent difficulties identified during pregnancy and labour were:

Depression / low mood

Having delivery by caesarean section

0

5

10

15

20

25

Reallygood

Good Not good Reallynot good

Relationship with babyWhile the majority of parents felt they had a really good relationship with their baby, 19% gave responses which demonstrated difficulties, such as not knowing how to read their baby’s cues. Comments included; ‘he just looks at me’, ‘difficult to understand her’, ‘for the first 14 days could not look at or enjoy him’, ‘(baby) did not love me’.


15

Difficulty bonding

0

2

4

6

8

10

Reallygood

Good Not good Reallynot good

Relationship with partnerThe majority of respondents reported really good or good relationships with their partner. However 29% of the responses indicated a negative relationship with their partner and 11% were no longer in the relationship. One parent felt that their eventual separation from their partner was as result of undiagnosed postnatal depression. Another respondent stated the father was reluctant to accept his child.

0

1

2

3

4

5

Father needed support

Mother needed support

Both needed support

When asked specifically about bonding, 25% of parents who were struggling to build relationships with their baby reported that the mother, the father or both needed support with bonding.

Information on the importance of skin to skin contact was provided in a handful of cases, but 70% of the parents said they did not receive relationship or bonding support after their baby was born.

Relationship support

0

5

10

15

20

25

30

Yes No N/A

of parents and carers said they had not been offered any relationship support during pregnancy or after

the birth of their baby.

67%


16

0

1

2

3

4

5

Anxiety & postnataldepression

Partner suffers stress

Partner suffers depression

Bipolar

Mental health issues29% of parents said that they or their partner had experienced mental health issues including depression and/or anxiety.

17% of the respondents received mental health support from their GP.

12

3

4

Additional support that parents would have welcomed during pregnancy or the birth of their baby included:

More emotional support and preparation for labour

Support for the family, including advice specific to new dads and drop-in sessions to ask questions about parenting

Wider topics in antenatal classes to include examples of how to interact with baby rather than the main focus being on labour

Peer groups with an opportunity for experienced parents to offer support

Other support

1

2

3

Healthy eating and cooking advice, such as cooking sessions on Mondays to support families with meal planning, snacks and batch cooking for the week ahead

Provide affordable local family activity sessions e.g. free swimming

Ensure outdoor parks are safe and maintained

1

2

3


17

RecommendationsBased on the conclusions from analysis of the questionnaires, the following recommendations are made for future services and activities to support outcomes for children in SSBC wards:

Increase mothers’ confidence and comfort to breastfeed in public

(More provision of private spaces to support breastfeeding outside the home)

Increased education including information on attachment, how often to feed, signs baby is full, support around common problems

It is challenging to return to work and continue expressing milk

4 Baby Buddy app

4 Weekly Cook and Play community group sessions in SSBC wards

4 Ideas Fund Projects such as Pregnancy Yoga, Twigglets, Funky Tots

l Work with partners to achieve Nottingham City Breastfeeding Friendly Charter

l Run public health campaigns to normalise breastfeeding and provide key messages

l Offer guidance to partners and grandparents on how they can support breastfeeding mums

l Work with partners on a whole system approach to healthy weight, so there is no duplication and service gaps are filled

l Work with nurseries to run projects to support healthy weight

Parents said

Parents said

We offer

We offer

We plan to

We plan to

Breastfeeding

Healthy weight

2

1

3

4

Provide increased education and information on the dangers of smoking in pregnancy with clear details of the impact on the unborn baby

Provide a peer support service run by mothers who are ex-smokers, for mothers who are looking to stop smoking

Offer regular support groups for both the mum and dad-to-be

Support family and friends to also stop or reduce smoking

1

23

Provide education on the importance of brushing and caring for teeth (especially baby teeth), visiting the dentist, and healthy snacks

Public oral health campaign

Assess accessibility to dentists within SSBC wards


18

1

4 Parent education workshops ‘Brush, Book & Bed’

4 Parent Obsession Group (POG) to cascade oral health messages and distribute resources at schools

4 Baby Buddy app

l Provide workforce training on oral health

l Work with an Oral Health Promotion Specialist to support linking with dentists

l Introduce supervised tooth brushing sessions for parents and children in nurseries and other early years settings

l Work with partners to create a local oral health campaign linked to the national campaign ‘A Little Trip to the Dentist’

l Develop the ‘Love Bump’ campaign to reduce smoking in pregnancy

l Fund the Smoke Free App to support pregnant women, partners and family members to stop smoking

Parents said

Parents said

We offer

We offer

We plan to

We plan to

Healthy teeth

Smoking in pregnancy

1

4

2

5

3

6


19

4 Triple P (Positive Parenting Programme)Discussion Groups run in all areas of the City – sessions are scheduled on different days, both in the morning and afternoon

4 SSBC funded training for Early Help Family Support Workers on the Triple P 8 week Group course. Groups are scheduled on different days, both in the morning and afternoon

4 Triple P Tip Sheets on a one-to-one basis

4 Small Steps at Home provided by Family Mentors

l Launch a Test and Learn project assessing the effectiveness of Triple P online

l Work with SSBC Marketing and Communications Team and a parent focus group to develop a promotional campaign for Triple P

l Support implementation of The Leuven Scales for emotional well-being in nurseries and early years settings

Parents said We offer

We plan to

Support for children's behaviour

Increase online support available

Offer weekend or evening parenting sessions

Improve advertising, including via social media

Avoid using the phrase ‘parenting group’

Run sessions more than once per week and ‘piggy back’ onto popular children’s groups

Offer sessions run by parents and supported by professionals in easy to access venues

2

1

3

They wanted advice about how to read their baby’s cues

Support for expectant families is needed, including father education and drop in sessions

They wanted peer groups with an opportunity for experienced parents to offer support

2

1

3

4

Provide support and information to increase parent-child interaction at home and reduce reliance on technology

Provide examples of play activities to support children’s speech and language

Provide groups offering information on child development and school readiness

Provide literacy support for parents

1

1

4 Dolly Parton’s Imagination Library (DPIL)

4 Story and Rhyme Time

4 Fathers Reading Every Day (FRED)

4 National Literacy Trust – Literacy Champions & Early Words Together at 2

4 Ideas Fund – Learning to Love Books

4 Big Little Moments campaign

4 Baby Massage

4 Change that Lasts

4 Baby Buddy App

l Establish FRED as one-to-one sessions within the Family Mentor Offer and develop a new group offer of FRED in the community

l Develop resources to support the home learning environment for parents of 0 - 2 year olds

l Develop work to support aspirations for parents and their families working with Nottingham Trent University

l Work with partners to explore opportunities to provide more mental health support for parents in the early days of parenthood

l Develop a ‘dads pack’ containing information to support dads as new parents

Parents said

Parents said

We offer

We offer

We plan to

We plan to

Communication & language development

Relationships

20


2

1

3

Increase emotional support available to mothers and families on labour wards

Support fathers’ mental health

Increase the offer / provision of counselling

2

1 Bonding and attachment support for the whole family is required

The topics in antenatal classes needed broadening to include examples of how to interact with baby rather than focusing primarily on labour

1

1

4 Baby Massage

4 Baby Buddy App

4 Big Little Moments campaign

l Introduce a greater focus on mental health related topics in ‘Think Dads’ training; available to the early years workforce

l Work with hospital midwives to introduce recliner chairs so fathers can stay overnight with partners having a baby

l Support Early Help to introduce a Peep Antenatal programme

l Promote more father inclusive practice across the workforce and partnerships

Parents said

Parents said

We offer

We plan to

We plan to

Communication & language development Attachment and bonding

Relationships

Mental health

21



ConclusionSSBC is fully committed to working with parents. Our core principle is “…. children at the heart with parents leading the way, supported and guided by experts.”

This report provides a summary of the consultation responses of 114 parents and carers in early 2020. These responses detail both the difficulties experienced by parents along with their ideas and recommendations for how these difficulties could be addressed through future service development. This report provides an initial response to these findings - both in terms of stating what is already being delivered and plans for future developments.

This report is the start of an on-going process of service development. SSBC will use the report and the parent recommendations to track developments and ensure that we are continuously responding to the parent voice expressed during this consultation. We will publish regular updates on our progress on the SSBC website, through our social media channels and newsletter, and in community venues across the SSBC wards.

Once again, we would like to thank the partners, parents and carers who contributed to this report. We are looking forward to continuing our partnerships to further improve and develop support for parents from pregnancy and during the all-important early years of a child’s development.

22


23

Small Steps Big Changes (SSBC) is a project funded by the National Lottery Community Fund. We work in Aspley, Bulwell, Hyson Green and Arboretum and St Ann’s offering a range of groups and activities to parents and families with babies and children aged 0 -4. We are planning some exciting new projects and would really like your help to understand our local communities. Please could you support us by taking ten minutes to answer the questions below.

We do not need your name but we would like to have a few details about where you live and who you are. All your responses will be kept safe and won’t be shared with anyone other than SSBC.

General projects questionnaire

1. What are the ages of your children or are you pregnant?

2. What is your postcode?

3. Are you Mum? Dad?

1. Less mothers breastfeed their babies in Nottingham than other places. Why do you think this is?

(Ideas might include; medical reasons, no support, worried to feed in public, worried don’t have enough milk to feed their baby)

2. What do you think would help more mothers to breastfeed their babies? (Ideas might include; support and information available, breastfeeding friendly spaces, support

from other parents, information on websites, YouTube “How To” clips)

1. Some information about you

2. Breastfeeding

Appendix 1

1. Nottingham has more 5 year olds who do not have healthy teeth compared to other places. Why do you think this is?

(Ideas might include: Don’t understand the importance of brushing teeth from being a baby with first teeth, don’t have a local dentist etc.)

2. Do you and your children go to the dentist? Yes / No. If not, could you tell us why? (Ideas might include; Don’t know how to find the nearest dentist, no NHS dentist places, recently

moved to area, wasn’t able to book an appointment when I called).

3. What services, support and information do you think would help children’s teeth to be healthier?

(Ideas might include; more local dentists, hints & tips on teeth brushing, vouchers to get toothpaste and brushes etc.)

3. Healthy teeth


24


25

1. 1 in 4 children in Nottingham are overweight when they start primary school. Why do you think this is?

(Ideas might include; lack of outdoor/indoor safe play spaces, activities available and hints and tips about healthy eating).

1. More pregnant women smoke in Nottingham than pregnant women in other places. Why do you think this is?

(Ideas could include; mum smoked when she was pregnant, not understanding the health problems for the baby as they grow up).

2. What services, support and information would you like to see to help children to keep a healthy weight?

(Ideas might include; having safe local parks, information about healthy meals, having local activities to do as a family)

2. What do you think would help women reduce or give up smoking when they are pregnant? (Ideas might include; other mums who have given up smoking giving support, having clear

advice on why to give up smoking etc.)

4. Healthy weight

5. Smoking in pregnancy

1. Almost 1 in 3 of all 5-year olds in Nottingham start school without the speaking or listening skills they need to be able to start learning. Why do you think this is?

(Ideas might include; parents needing support to help their children at home including tips and ideas on how to do fun games and playing in the home)

1. Where do you think parents go to for advice or support with their children’s behaviour, such as bedtimes, tantrums, fighting, listening?

(Ideas might include; family or friends, Websites, Children’s Centre Worker, Nursery or school teacher)

2. What do you think needs to happen to change this? (Ideas may include; literacy support for parents, parents having activities to do with their children,

and parents knowing what their child needs to do before starting school)

2. Do think parenting groups are popular with families? Yes / No. Please tell us why.

6. Communication & language

7. Support for parents


26


27

3. What support would you like to see from a local parenting group? (Ideas might include; hints, tips and advice to parents about things parents would like help with,

like routines, listening, fighting)

4. How should the group be set up? (Ideas might include; who runs it, how its advertised, where it’s held, times of day, what it’s called)

Is there anything else you would like to tell us (including anything else you’d like to say about the questions we have asked)?

Thank you for taking the time to answer our questions. Your responses will help us plan some of our future projects. If you would like to know more about SSBC or would like more information on what we have planned then contact us at [email protected] or visit our website

Small Steps Big Changes (SSBC) is a project funded by the National Lottery Community Fund. We work in Aspley, Bulwell, Hyson Green and Arboretum and St Ann’s offering a range of groups and activities to parents and families with babies and children aged 0 -4. We are planning some exciting new projects and would really like your help to understand our local communities. Please could you support us by taking ten minutes to answer the questions below.

We do not need your name but we would like to have a few details about where you live and who you are. All your responses will be kept safe and won’t be shared with anyone other than SSBC.

Please only answer questions you fell comfortable to answer

Social and Emotional development questionnaire

Are you Mum or Dad?

How old is your youngest child?

What is your postcode?

Some information about you

The next three questions are about your pregnancy

1. Were there any difficulties during the pregnancy or birth of your baby? These could be medical social or emotional. Please give as much detail as you feel comfortable.

2. Did you (or your partner) have support for any difficulties during the pregnancy or birth of your baby?

Not applicable Yes No If yes, who provided support and did it help? Please explain.


28

Appendix 2


29

3. Is there any additional support that you would have liked to have been offered? Please explain.

4. How would you describe your relationship with your baby? Please explain.

5. How was your relationship with your partner? Please explain.

The following questions are about after your baby was born

6. Did you (or your partner) have any relationship support after your baby was born?

Not applicable Yes No If yes, who provided support and did it help? Please explain

7. What are your ideas for how services could help parents in their relationship with each other and with their baby?

8. Did you (or your partner) have any relationship support after your baby was born?

Yes No Prefer not to say If yes, who provided support and did it help? Please explain

9. Did you (or your partner) receive any support about bonding with your baby?


10. What are your ideas for how services could help parents to bond with their baby?


30


31

11. Did you (or your partner) have any mental health issues?

Yes No Prefer not to say If yes, please explain

12. Did you (or your partner) receive any support for mental health?


13. Is there any additional mental health support that you would have liked to have been offered? Please explain.

Thank you for taking the time to answer our questions. Your responses will help us plan some of our future projects. If you would like to know more about SSBC or would like more information on what we have planned then contact us at [email protected] or visit our website

www.smallstepsbigchanges.org.ukncp.ss.bc@nhs.netsmallstepsbigchangesncitycare_ssbcssbc_nottingham

@

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Small Steps Big Changes - giving every child the best start in life

using - smallsteps · 2020. 12. 3. · struggling to pay for toothbrushes and toothpaste. a final...

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